Frenectomies & Impacted Canine Treatment
Small Procedures. Big Impact on Long-Term Smile Health.
At Wow Orthodontics, we look beyond just straight teeth. Proper gum attachment, tooth eruption, and jaw development all play an important role in creating a healthy, stable smile.
Two conditions that often require careful evaluation are restrictive frenum attachments and impacted canines. When diagnosed and treated at the right time, these issues can significantly improve long-term outcomes.
Dr. Aymach's combined background in orthodontics and surgical procedures allows for comprehensive diagnosis and coordinated care — all with precision and clarity.
What Is a Frenectomy?
A frenum is a small band of tissue that connects the lips or tongue to the gums. In some patients, this tissue is too thick, tight, or positioned in a way that interferes with normal development.
Common concerns include:
A large gap between the upper front teeth (midline diastema)
Gum recession
Restricted tongue movement (tongue-tie)
Speech concerns
Difficulty maintaining oral hygiene
When the frenum attachment contributes to spacing or tension on the gums, a frenectomy may be recommended.
Why Timing Matters
In orthodontics, timing is critical.
For example, when there is a gap between the front teeth, we often close the space orthodontically first. If the frenum remains tight, it can pull the teeth apart again — leading to relapse.
A properly timed frenectomy can:
- Improve stability after space closure
- Reduce tension on gum tissue
- Support long-term alignment
- Improve function and comfort
Because Dr. Aymach understands both tooth movement and soft tissue management, the procedure is planned strategically — not prematurely.
What Are Impacted Canines?
Upper canine teeth (cuspids) are critical for both function and aesthetics. They guide your bite and support facial structure.
Sometimes, these teeth do not erupt properly and become impacted (stuck under the gum or bone).
Impacted canines can:
Damage neighboring teeth
Cause root resorption
Create cyst formation
Disrupt bite development
Affect smile symmetry
Early detection — often around ages 9–11 — greatly improves treatment success.
Advanced 3D CBCT Imaging for Accurate Diagnosis
At Wow Orthodontics, we use 3D CBCT (Cone Beam CT) imaging to accurately diagnose impacted canines.
Unlike traditional 2D X-rays, CBCT allows us to:
See the exact 3D position of the impacted tooth
Evaluate proximity to neighboring roots
Detect root resorption early
Assess bone thickness and angulation
Plan precise surgical exposure
This advanced imaging significantly improves diagnostic accuracy and reduces risks during treatment.
How We Treat Impacted Canines
Because Dr. Aymach understands both surgical exposure and orthodontic traction, the process is coordinated carefully to minimize risk and maximize success.
Proper planning reduces:
- Treatment time
- Risk to adjacent teeth
- Unnecessary procedures
- Surprises during surgery
A Comprehensive, Conservative Approach
At Wow Orthodontics, we carefully evaluate:
Tooth position in 3D
Available space
Root angulation
Timing of development
Overall facial balance
We do not rush surgical procedures. If monitoring is appropriate, we monitor. If intervention improves long-term outcome, we explain clearly why.
Experience & Precision Matter
Procedures like frenectomies and impacted canine exposure require timing, coordination, and precision.
When orthodontic expertise is combined with surgical understanding — supported by advanced 3D imaging — patients benefit from:
Better diagnosis
Clearer treatment planning
Fewer conflicting opinions
More predictable outcomes
Ready to Get Started?
Schedule your free consultation today and let Dr. Aymach create a personalized treatment plan for you.
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